WHAT IS HAPPENING TO MY 5 YEAR OLD SON? 
Ask The Doctor Dr. Leland Heller Biological Unhappiness 
WHAT IS HAPPENING TO MY 5 YEAR OLD SON? 
Question: My son is on trials of different meds for anxiety/ADHD. They are not 100%, and was on Remeron when he started having really bad dreams but seemed to not wake up until we were talking to him for 2-3 minutes–looked right at dad and kept calling him mom. We stopped the Remeron but it continued. Now we are trying BuSpar and dreams-whatever, started up again. It’s really scary because his eyes are wide open but he seems to be dreaming??? Can these meds cause this problem to continue even if he’s not on them?? Also his pupils seem dilated a lot of the time. What could this be?? He is 5 years old. Dr. Heller’s Answer: It’s very, very hard to tell on someone that age. Remeron does cause bad dreams sometimes. If the bad dreams continued it probably wasn’t the Remeron. Its highly unlikely that they are continuing due to the Remeron. If the dreams are violent, bipolar may be the cause. There’s a great deal of trial and error in cases like this. When I take care of a 5 year old I ask both biological parents to take the screening test (http://pks.947.myftpupload.com/screen.htm) and I look for childhood onset bipolar http://pks.947.myftpupload.com/BiPlrKid.htm Making the correct diagnoses is crucial. The dilated pupils may be an anxiety, neurological or adrenaline phenomenon. A thorough neurological evaluation is necessary. Theres more than just ADHD with some anxiety going on. 
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